Analysis of Breast Self-Examination According to the Adopted Lifestyle of Women

Authors

  • Julija Pušnik Neurology Clinic of University Medical Centre Ljubljana
  • Suzana Mlinar Faculty of Health Sciences, University of Ljubljana

DOI:

https://doi.org/10.55707/jhs.v9i1.126

Keywords:

smoking, alcohol, physical activity, diet, breast self-examination

Abstract

Globally, breast cancer is the most common malignancy in women. Regular and proper breast self-examination allows for early detection of changes and consequent treatment in the early stages of the disease. A healthy lifestyle reduces the risk factors for breast cancer. The purpose of the study was to analyze the implementation of breast self-examination and the lifestyle of women. The sample included 214 randomly selected women in Slovenia. A descriptive method of work and a quantitative research methodology using a questionnaire were used. The χ2 test in IBM SPSS v. 26 was used to test the hypotheses. We found that only 15% of respondents had a monthly breast self-examination and only 16.4% performed a proper breast self-examination (p < 0.001). Breasts were self-examined monthly by respondents over 50 years of age (p < 0.020), with a hereditary predisposition to breast cancer (p < 0.001). 55.6% of respondents were taught breast self- examination by medical staff. 79.0% of respondents consume alcohol. Breakfast is eaten daily by 71.7% of respondents aged 20–29 (p < 0.009). 35.5% of respondents are engaged in physical activity that has improved their health, and 18.4% of them regularly self-examine their breasts (p < 0.011). Nurses play an important role in educating women about systematic breast self-examination, encouraging them to perform regular breast
self-examination and adopt a healthy lifestyle. 

References

Abay, M., Tuke, G., Zewdie, E. idr. (2018). Breast self‑examination practice and associated factors among women aged 20–70 years attending public health institutions of Adwa town, North Ethiopia. BMC Res Notes, 11(1), 622. https://doi.org/10.1186/s13104-018-3731-9

Allen, T. L., van Groningen, B. J., Barksdale, D. J. idr. (2010). The breast self-examination 6 controversy: what providers and patients should know. J Nurse Pract, 6(4), 444–451. https://doi.org/10.1016/j.nurpra.2009.11.005

Al-Naggar, R. A., Bobryshev, Y. V. in Al-Jashamy, K. (2012). Practice of breast self-examination among women in Malaysia. Asian Pac J Cancer Prev, 13(8), 3829–3833. https://doi.org/10.7314/APJCP.2012.13.8.3829, https://doi.org/10.7314/APJCP.2012.13.8.3595

Amoran, O. E. in Toyobo, O. O. (2015). Predictors of breast self-examination as cancer prevention practice among women of reproductive age-group in a rural town in Nigeria. Niger Med J, 56(3), 185–189. https://doi.org/10.4103/0300-1652.160362

Angahar, L. T. (2017). An overview of breast cancer epidemiology, risk factors, pathophysiology, and cancer risks reduction. Biology and Medicine, 1(4), 92–96. https://doi.org/10.15406/mojbm.2017.01.00019

Anwar, S. L., Tampubolon, G., Van Hemelrijck, M. idr. (2018). Determinants of cancer screening awareness and participation among Indonesian women. BMC Cancer, 18(1), 208. https://doi.org/10.1186/s12885-018-4125-z

Bao, Y., Kwok, C. in Lee, C. F. (2018). Breast cancer screening behaviors among Chinese women in Mainland China. Nurs Health Sci, 20(4), 445–451. https://doi.org/10.1111/nhs.12533

Borštnar, S., Bračko, M., Čufer. T. idr. (2006). Rak dojke: kaj morate vedeti. 2 izd. Ljubljana: Onkološki inštitut Ljubljana. Dostopno na: https://dora.onkoi.si/fileadmin/user_upload/Dokumenti/Rak-dojke.pdf (pridobljeno 9. 3. 2020).

Chianca, F. M., Lacerda, I. P., Cabral, D. M. idr. (2015). Breast self-examination: older adult women‘s experience in an family health unit. J Nurs, 9(8), 8831−8837.

Doganer, Y. C., Aydogan, U., Kilbas, Z. idr. (2014). Predictors affecting breast self-examination practice among Turkish women. Asian Pac J Cancer Prev, 15(20), 9021–9025. https://doi.org/10.7314/APJCP.2014.15.20.9021

Erdem, Ö. in Toktaş, İ. (2016). Knowledge, attitudes, and behaviors about breast self-examination and mammography among female primary healthcare workers in Diyarbakır, Turkey. Biomed Res Int, ID 6490156. https://doi.org/10.1155/2016/6490156

Gungormus, Z., Zengin, E. Y. in Cicek, Z. (2018). Health responsibility levels and knowledge and practices related to early detection of women’ breast cancer. Int. J Caring Sci, 11(3), 1483–1491.

HHS – Department of health and human services (2014). The health consequences of smoking–50 years of progress: a report of the surgeon general. Atlanta: Centers for disease control and prevention, National center for chronic disease prevention and health promotion, Office on smoking and health. Dostopno na: ttps://www.ncbi.nlm.nih.gov/books/NBK179276/pdf/Bookshelf_NBK179276.pdf (pridobljeno 9. 3. 2020).

Hočevar, T., Henigman, K. in Štruc, A. (2018). SOPA – Skupaj za odgovoren odnos do pitja alkohola. Ljubljana: Nacionalni inštitut za javno zdravje. Dostopno na: https://www.sopa.si/assets/vsebinskaPROMOgradiva/SOPA-Brosura-ZA-TISK-oktober.pdf (pridobljeno 9. 3. 2020).

Karadag Arli, S., Bakan, A. B. in Aslan, G. (2018). Distribution of cervical and breast cancer risk factors in women and their screening behaviours. Eur J Cancer Care, 28(2), e12960. https://doi.org/10.1111/ecc.12960

Khazaee - Pool, M., Montazeri, A., Majlessi, F. idr. (2014). Breast cancer-preventive behaviors: exploring Iranian women’s experiences. BMC Womens Health, 14(41), 1‒9. https://doi.org/10.1186/1472-6874-14-41

Leitzmann, M., Powers, H., Anderson, A. S. idr. (2015). European code against cancer 4th edition: physical activity and cancer. Cancer Epidemiol, 39(1), 46–55. https://doi.org/10.1016/j.canep.2015.03.009

Leon, M. E., Peruga, A., McNeill, A. idr. (2015). European code against cancer, 4th edition: tobacco and cancer. Cancer Epidemiol, 39(1), 20–33. https://doi.org/10.1016/j.canep.2015.06.001

Lobo, R. A., Gershenson, D. M., Lentz, G. M. idr. (2017). Comprehensive gynecology. 7th ed. Philadelphia: Elsevier.

Neilson, H. K., Farris, M. S., Stone, C. R. idr. (2017). Moderate-vigorous recreational physical activity and breast cancer risk, stratified by menopause status: a systematic review and metaanalysis. Menopause, 24(3), 322–344. https://doi.org/10.1097/GME.0000000000000745

Norat, T., Scoccianti, C., Boutron - Ruault, M. C. idr. (2015). European code against cancer 4th edition: diet and cancer. Cancer Epidemiol, 39(1), 56–66. https://doi.org/10.1016/j.canep.2014.12.016

Nowicki, A., Kosicka, B. in Lemanowicz, M. (2017). Satisfaction with life and health-promoting behaviours in the context of prevention and early detection of breast cancer in physically active women. OncoRev, 7(1), 5–14. https://doi.org/10.5604/01.3001.0009.7403

Özdemir, A., Akansel, N., Tunc, G. Ç. idr. (2014). Determination of breast self-examination knowledge and breast self-examination practices among women and effects of education on their knowledge. Int. J Caring Sci, 7(3), 792–798.

Quirino Freitas, A. G. in Weller, M. (2016). Knowledge about risk factors for breast cancer and having a close relative with cancer affect the frequency of breast self-examination performance. Asian Pac J Cancer Prev, 17(4), 2075−2081. https://doi.org/10.7314/APJCP.2016.17.4.2075

Rivera - Franco, M. M. in Leon - Rodriguez, E. (2018). Delays in breast cancer detection and treatment in developing countries. Breast Cancer, 8 (12), 1178223417752677. https://doi.org/10.1177/1178223417752677

Schwartz, L. A., Henry - Moss, D., Egleston, B. idr. (2018). Preventative health and risk behaviors among adolescent girls with and without family histories of breast cancer. J Adolesc Health, 64(1), 116–123. https://doi.org/10.1016/j.jadohealth.2018.07.011

Scoccianti, C., Cecchini, M., Anderson, A. S. idr. (2016). European code against cancer 4th edition: alcohol drinking and cancer. Cancer Epidemiol, 45, 181–188. https://doi.org/10.1016/j.canep.2016.09.011

Šuljić, P., Sorta - Bilajac Turina, I., Sesar, Ž. idr. (2018). Health Status, lifestyle, use of health services, social capital and life satisfaction as predictors of mental health - comparative analysis of women that receive and do not receive public assistance in Croatia. Psychiatr Danub, 30(4), 421–432. https://doi.org/10.24869/psyd.2018.421

Tavafian, S. S., Hasani, L., Aghamolaei, T. idr. (2009). Prediction of breast self-examination in a sample of Iranian women: an application of the Health Belief Model. BMC Womens Health, 9(1), 37. https://doi.org/10.1186/1472-6874-9-37

Thomas, D. B., Gao, D. L., Ray, R. M. idr. (2002). Randomized trial of breast self-examination in Shanghai: final results. J Natl Cancer Inst, 94(19), 1445–1457. https://doi.org/10.1093/jnci/94.19.1445

Udoh, R. H., Ansu - Mensah, M., Tahiru, M. idr. (2020). Mapping evidence on women’s knowledge and practice of breast self-examination in sub-Saharan Africa: a scoping review protocol. Syst Rev, 9(2), 1–4. https://doi.org/10.1186/s13643-019-1254-7

von Dawans, B., Ditzen, B., Trueg, A. idr. (2019). Effects of acute stress on social behavior in women. Psychoneuroendocrinology, 99, 137–144. https://doi.org/10.1016/j.psyneuen.2018.08.031

WHO – World health organization (2018). Global status report on alcohol and health 2018. Geneva: World health organization. Dostopno na: https://www.who.int/substance_abuse/publications/global_alcohol_report/gsr_2018/en/ (pridobljeno 9. 3. 2020).

WHO – World health organization (2019). Nutrition in universal health coverage. Geneva: World health organization. Dostopno na: https://www.who.int/publications-detail/WHO-NMHNHD-19.24 (pridobljeno 9. 3. 2020).

Yoo, B. N., Choi, K. S., Jung, K. W. idr. (2012). Awareness and practice of breast self-examination among Korean women: results from a nationwide survey. Asian Pac J Cancer Prev, 13(1), 123–125. https://doi.org/10.7314/APJCP.2012.13.1.123

Published

2022-06-16

How to Cite

Pušnik, J., & Mlinar, S. (2022). Analysis of Breast Self-Examination According to the Adopted Lifestyle of Women. Revija Za Zdravstvene Vede, 9(1), 41–55. https://doi.org/10.55707/jhs.v9i1.126

Issue

Section

Articles